This document includes House Committee Amendments incorporated into the bill on Wed, Jan 24, 2024 at 11:09 AM by housengrossing.
This document includes House Floor Amendments incorporated into the bill on Thu, Feb 1, 2024 at 12:06 PM by housengrossing.
1     
DEATH CERTIFICATE AMENDMENTS

2     
2024 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Raymond P. Ward

5     
Senate Sponsor: Michael S. Kennedy

6     

7     LONG TITLE
8     General Description:
9          This bill modifies provisions related to death certificates.
10     Highlighted Provisions:
11          This bill:
12          ▸     allows a health care professional to indicate on a death certificate that an immediate
13     cause of death is unknown Ĥ→ [
under certain circumstances] if the immediate cause of death is
13a     unknown ←Ĥ ;
14          ▸     modifies the deadline for a health care professional to complete the medical section
15     of a death certificate;
16          ▸     requires the Department of Health and Human Services (department) to provide
17     instructions related to when a health care professional can indicate an immediate
18     cause of death is unknown on a death certificate; Ĥ→ and ←Ĥ
19     Ĥ→ [
     ▸     allows the department to modify an immediate cause of death that is listed as
20     unknown on a death certificate; and
] ←Ĥ

21          ▸     makes technical changes.
22     Money Appropriated in this Bill:
23          None
24     Other Special Clauses:
25          None
26     Utah Code Sections Affected:
27     AMENDS:

28          26B-8-114, as renumbered and amended by Laws of Utah 2023, Chapter 306
29     

30     Be it enacted by the Legislature of the state of Utah:
31          Section 1. Section 26B-8-114 is amended to read:
32          26B-8-114. Certificate of death -- Execution and registration requirements --
33     Information provided to lieutenant governor.
34          (1) (a) A certificate of death for each death that occurs in this state shall be filed with
35     the local registrar of the district in which the death occurs, or as otherwise directed by the state
36     registrar, within five days after death and prior to the decedent's interment, any other disposal,
37     or removal from the registration district where the death occurred.
38          (b) A certificate of death shall be registered if the certificate of death is completed and
39     filed in accordance with this part.
40          (2) (a) If the place of death is unknown but the dead body is found in this state:
41          (i) the certificate of death shall be completed and filed in accordance with this section;
42     and
43          (ii) the place where the dead body is found shall be shown as the place of death.
44          (b) If the date of death is unknown, the date shall be determined by approximation.
45          (3) (a) When death occurs in a moving conveyance in the United States and the
46     decedent is first removed from the conveyance in this state:
47          (i) the certificate of death shall be filed with:
48          (A) the local registrar of the district where the decedent is removed; or
49          (B) a person designated by the state registrar; and
50          (ii) the place where the decedent is removed shall be considered the place of death.
51          (b) When a death occurs on a moving conveyance outside the United States and the
52     decedent is first removed from the conveyance in this state:
53          (i) the certificate of death shall be filed with:
54          (A) the local registrar of the district where the decedent is removed; or
55          (B) a person designated by the state registrar; and
56          (ii) the certificate of death shall show the actual place of death to the extent it can be
57     determined.
58          (4) (a) Subject to Subsections (4)(d) and (10), a custodial funeral service director or, if

59     a funeral service director is not retained, a dispositioner shall sign the certificate of death.
60          (b) The custodial funeral service director, an agent of the custodial funeral service
61     director, or, if a funeral service director is not retained, a dispositioner shall:
62          (i) file the certificate of death prior to any disposition of a dead body or fetus; and
63          (ii) obtain the decedent's personal data from the next of kin or the best qualified person
64     or source available, including the decedent's social security number, if known.
65          (c) The certificate of death may not include the decedent's social security number.
66          (d) A dispositioner may not sign a certificate of death, unless the signature is witnessed
67     by the state registrar or a local registrar.
68          (5) (a) [Except as provided in Section 26B-8-115, fetal death certificates, the medical
69     section of the certificate of death shall be completed, signed, and returned to the funeral service
70     director, or, if a funeral service director is not retained, a dispositioner, within 72 hours after
71     death by the health care professional who was in charge of the decedent's care for the illness or
72     condition which resulted in death, except when inquiry is required by Part 2, Utah Medical
73     Examiner.] Except as provided in Section 26B-8-115 or when inquiry is required by Part 2,
74     Utah Medical Examiner, a health care professional who was in charge of the decedent's care for
75     the illness or condition which resulted in death shall complete, sign, and return the medical
76     section of the certificate of death within Ĥ→ [
five] three ←Ĥ business days from the day on which
76a     the death
77     occurred to:
78          (i) the funeral service director; or
79          (ii) if a funeral service director is not retained, a dispositioner.
80          (b) In the absence of the health care professional or with the health care professional's
81     approval, the certificate of death may be completed and signed by an associate physician, the
82     chief medical officer of the institution in which death occurred, or a physician who performed
83     an autopsy upon the decedent, if:
84          (i) the person has access to the medical history of the case;
85          (ii) the person views the decedent at or after death; and
86          (iii) the death is not due to causes required to be investigated by the medical examiner.
87          (c) When completing the immediate cause of death section of a certificate of death, a
88     health care professional may indicate that the immediate cause of death is unknown Ĥ→ [
if:
89          (i) the decedent died in a setting that did not have direct medical monitoring available;

90     and
91          (ii) the health care professional determines that the health care professional cannot
92     easily ascertain the cause of death.
] if the immediate cause of death is unknown. ←Ĥ

93          (d) The department shall create instructions for completing a certificate of death that
94     inform a health care professional that the heath care professional may indicate that the
95     immediate cause of death is unknown in accordance with Subsection (5)(c).
96          Ĥ→ [
(e) The department may modify a response of unknown that is listed as an immediate
97     cause of death on a certificate of death with an equivalent diagnosis code, including natural
98     causes not otherwise specified.
] ←Ĥ

99          (6) When death occurs more than 365 days after the day on which the decedent was last
100     treated by a health care professional, the case shall be referred to the medical examiner for
101     investigation to determine and certify the cause, date, and place of death.
102          (7) When inquiry is required by Part 2, Utah Medical Examiner, the medical examiner
103     shall make an investigation and complete and sign the medical section of the certificate of
104     death within 72 hours after taking charge of the case.
105          (8) If the cause of death cannot be determined within 72 hours after death:
106          (a) the medical section of the certificate of death shall be completed as provided by
107     department rule;
108          (b) the attending health care professional or medical examiner shall give the funeral
109     service director, or, if a funeral service director is not retained, a dispositioner, notice of the
110     reason for the delay; and
111          (c) final disposition of the decedent may not be made until authorized by the attending
112     health care professional or medical examiner.
113          (9) (a) When a death is presumed to have occurred within this state but the dead body
114     cannot be located, a certificate of death may be prepared by the state registrar upon receipt of
115     an order of a Utah court.
116          (b) The order described in Subsection (9)(a) shall include a finding of fact stating the
117     name of the decedent, the date of death, and the place of death.
118          (c) A certificate of death prepared under Subsection (9)(a) shall:
119          (i) show the date of registration; and
120          (ii) identify the court and the date of the order.

121          (10) It is unlawful for a dispositioner to charge for or accept any remuneration for:
122          (a) signing a certificate of death; or
123          (b) performing any other duty of a dispositioner, as described in this section.
124          (11) The state registrar shall, within five business days after the day on which the state
125     registrar or local registrar registers a certificate of death for a Utah resident, inform the
126     lieutenant governor of:
127          (a) the decedent's name, last known residential address, date of birth, and date of death;
128     and
129          (b) any other information requested by the lieutenant governor to assist the county
130     clerk in identifying the decedent for the purpose of removing the decedent from the official
131     register of voters.
132          (12) The lieutenant governor shall, within one business day after the day on which the
133     lieutenant governor receives the information described in Subsection (11), provide the
134     information to the county clerks.
135          Section 2. Effective date.
136          This bill takes effect on May 1, 2024.